Blue Bloaters" are patients with chronic bronchitis, a type of COPD characterized by excess mucus production, chronic cough, low blood oxygen levels (leading to a bluish skin tone), and a tendency to be overweight. In contrast, "Pink Puffers" have emphysema, where their lungs have destroyed air sacs, causing them to be thin, hyperventilate with pursed lips, breathe rapidly, and appear pink due to adequate oxygenation but difficulty exhaling. While the terms are outdated, they describe distinct patterns of COPD presentation based on the underlying disease process.